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VA Disability Claims: 5 Game-Changing Precedential Decisions You Need to Know
Tbird posted a record in VA Claims and Benefits Information,
These decisions have made a big impact on how VA disability claims are handled, giving veterans more chances to get benefits and clearing up important issues.
Service Connection
Frost v. Shulkin (2017)
This case established that for secondary service connection claims, the primary service-connected disability does not need to be service-connected or diagnosed at the time the secondary condition is incurred 1. This allows veterans to potentially receive secondary service connection for conditions that developed before their primary condition was officially service-connected.
Saunders v. Wilkie (2018)
The Federal Circuit ruled that pain alone, without an accompanying diagnosed condition, can constitute a disability for VA compensation purposes if it results in functional impairment 1. This overturned previous precedent that required an underlying pathology for pain to be considered a disability.
Effective Dates
Martinez v. McDonough (2023)
This case dealt with the denial of an earlier effective date for a total disability rating based on individual unemployability (TDIU) 2. It addressed issues around the validity of appeal withdrawals and the consideration of cognitive impairment in such decisions.
Rating Issues
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Tbird, -
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Are all military medical records on file at the VA?
RichardZ posted a topic in How to's on filing a Claim,
I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful. We decided I should submit a few new claims which we did. He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims. He said that the VA now has entire military medical record on file and would find the record(s) in their own file. It seemed odd to me as my service dates back to 1981 and spans 34 years through my retirement in 2015. It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me. He didn't want my copies. Anyone have any information on this. Much thanks in advance.-
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RichardZ, -
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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability rating
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yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.
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Lemuel, -
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Question
qrdgv2tebc
Hi To All
I was looking at the boxes of paper i have kept, since i have dealing with the VA. i decided to look at what i could put in the garbage. i came across some pages from my service medical records, as i was looking at the page i realized i was diagnosed with Infectious Mononucleosis, Mono is an infection caused by the Epstien-Barr virus, some call it the Kissing disease, i look it up on google and long term effects, i was diagnosed on 18/Oct/1969, i was in Korea at the time. one of the long term effects is Chronic Fatigue Syndrome, i was diagnosed with CFS about 14 months ago on a va exam. I have been complaining for years in the service and after i retired with swollen lymph nodes in my underarms and my groin, i was told by the doctors that maybe i was pulling the hair under my arms to hard when i took showers, that did not make any sence to me. This has happened to me twice in the past month, but lasted only about two days, when it happens i get a high fever and fatigue, sore muscles headaches, feel like crap. In OCT of last year i was put in th hospital for five days with a chronic infection, same symptoms, fatigue,fever,sore throat, sore muscles, skin rash, red speckles around my ankles and on the inside of my arms, headeaches, and swollen lymph nodes in my underarmes. the doctor could not figured out what kind of infection i had, i could not eat i felt so sick, they did not give me any antibiotic, the doctor sid that antibiotic would not help just rest and dring plenty of water,juice and rest, after i got out of the hospital i had to stay in bed for two weeks, i just did not have any energy. on my release paper from the hospital it states on diagnosis, Infection unknow. other side effects on Mono are large liver and spleen, you have to avoid sports for a month you are better.
One of the studies i saw on google is that it is rear to get a mono set back, but it may happen when you get older. it also can cause certain cancer later in life, in the brain,throat neck,
If anyone out there ever had this,please contact me, because the doctors here don't know what the hell is going on.
Appreceiate all replys.
Patrick
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